Ibrahim, Shariq M

Ibrahim, Shariq M is an individual health care provider with primary practice located at 8317 Calumet Ave , Munster IN 46321-1737. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ibrahim, Shariq M can be contacted via phone (219) 513-2333.

Contact Information

Primary practice address
8317 Calumet Ave Munster IN 46321-1737
Phone: (219) 513-2333
Fax: (219) 513-2333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01062605A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01062605A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01062605A Indiana

Profile Details

NPI number 1245336486
LBN Legal business name Ibrahim, Shariq M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245336486 NPPES
Indiana Other 000000494372 ANTHEM BCBS
Indiana Other 000000573813 ANTHEM BCBS
Indiana MEDICAID 200859300 ANTHEM BCBS
Indiana Other 7163911 ANTHEM BCBS

Popular Providers